My Department has provided financial clearance to the Western Health Board for the appointment of three consultant orthopaedic surgeons at Mayo General Hospital. I understand that Comhairle na nOspidéal has approved the appointment of the consultants. My Department has advised the board of its authorised employment level for 2003. As provided in the letter of determination for 2003, it is a matter for the board to manage the provision of health services in the region, including orthopaedic services at Mayo General Hospital, within its approved employment complement for 2003.